MARK A LAVINE

TROY, MI
NPI1154482594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901002664)
Enumeration Date2006-12-12
Last Update Date2010-05-26
Business Address
-- MARK A LAVINE O.D.
354 W 14 MILE RD OAKLAND MALL
TROY, MI 48083-4218
Phone number: 248-585-0044
Mailing Address
-- MARK A LAVINE O.D.
5448 VAN NESS DR
BLOOMFIELD HILLS, MI 48302-2670
Phone number: 248-857-2353
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